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The Full Program – Round 1

R-IDARAM is the name of the program I am now on. The active drugs are :

Rituximub
IDArubicin
Dextamethasone
ARA-C (Cytarabine)
Methotrexate

I’m on few other pills to protect me from some of the effects of the above drugs.

I have now had the first drug. They administered it slowly measuring my blood pressure every 15 mins. This is because some people have reacted badly in the past from the drug. They gradually stepped up the flow rate (it was intravenous) but there was no bad reaction. That means on subsequent rounds they can start at the highest flow rate.

I think the rest of the drugs will be administered today. Not looking forward to the Dextamethasone. If I end up writing a 10 page blog entry at 3am you’ll know what way I’ve gone on the drug.

It will take up to a week for the drugs to be delivered then cleared from my system. They also want me at hand to keep a regular check on me post delivery. They are now suggesting I will remain in hospital for 3-4 weeks. A bit of a shocker that one. We will see what we can do. Perhaps move to a hospital nearer to home for the latter monitoring phase. We’ll see. And report of course. And all this is just round 1 of however many we don’t yet know.

Not Leishmaniasis

We’ve had a couple of doctors’ interactions. The first with the skin specialist over the phone and the second with Prof Linch face to face.

The long and the short of it is that I don’t have Leishmaniasis. I have a B-Cell Lymphoma, related to the Epstein-Barr virus somehow, expressing itself on my face. The specialists examining my brain tissue won’t let a square peg into a round hole and are saying the brain tissue does not exhibit B-Cell lymphoma. So do I have two separate and rare lymphomas? Or something not yet fully understood. There are more test results due in over the next few days but the Prof things we need to start treatment ASAP. So here I am on the 15th floor of UCH watching the sunset over west London from my fabulous hotel hospital room. Treatment begins tomorrow. I was told what it was but have since forgotten. I’ll take notes next time.

Tring House

Yesterday wasn’t a total sit-around. We visited a home for sale in nearby Tring.

http://zoop.la/10G6vpm

The place hit most of our buttons so it definitely demands some further interest. It’s location close to the town center is really desirable. We have concerns over past woodworm so we’ve asked if there are any certificates / guarantees to test the water on this.

So with no news from the docs on Friday we now have more information to wait on.

Hip biopsy, biopsy, biopsy, biopsy

One thing I forgot to mention last blog as it was late news for us too. The Prof had noticed declining white blood cell counts and ordered a bone marrow exam. This I had, had, had, had yesterday. I repeat this for ‘good’ reason. The first person to try failed on her very painful first go. She had a second go promising to get a doctor if she failed a second time. Rather than following her second failure by getting someone more competent she had a third go and failed that too. Each time I was having anesthesia injected in the skin and bone which was very painful. Third time unlucky she finally gave up and fetched the registrar who did a much better job in terms of less pain and successful biopsy. We were then told to rest and wait 30 mins and someone would come and see us. 45 minutes later Helen went off looking for someone and eventually found someone to superficially check on us and send us on our way. I complained in writing today as this is not the treatment we’d expect at a private hospital. Far worse than the same operation I had in Australia which was painless and quick.

Today, although feeling I’ve been run over by a bus we did go out to see a house in Chesham.

http://zoop.la/13Da7gk

It was really nice but a little too big for the two of us and certainly too big if Helen has to stay somewhere on her own.

The pace has certainly gone out of our house hunt but deep down we both want somewhere to really call our own. That bungalow we first saw in Chesham is still on the market.

http://zoop.la/ZQWCrT

We may back and see that a second time. Lovely house but not the ideal location. We’re not caring so much about the latter at the moment.

Thanks to everyone for all your great messages of support. Helen and I were both upset to hear the news of relapse but had expected it. In a lot of ways we feel better knowing the ball is rolling. Results from the brain biopsy analysis, skin specialist and hip biopsy, biopsy, biopsy, biopsy should be in soon and we’ll hopefully be in a position to start treatment soon.

Life’s Ups and Downs

Sometimes we have patches in our lives where ever thing seems so go right. We’ve had our share, perhaps more than our fair share, but I think we made the best of them. For the flip side of this are the patches were luck is not on your side. We seem to be going through and extended patch of this.

Yesterday we visited Prof Linch in London to discuss my recent symptoms (which have been slowly deteriorating) and the results of the MRI. The Profs. conclusion is that the disease I had has begun to return. What is less certain is what was the disease I had and what may be returning. There is a possibility of the Epstein-Barr virus being involved and to confirm or exclude this as a possibility my brain biopsy taken nearly a year ago is currently being examined. It will still be lymphoma (I understand) either way but the treatment would be different. So, more waiting for more results but one thing is certain, treatment will begin soon. Joy.

What was a real joy was meeting up with Mike and Anne from Callisto who are in the area (the boat is in Malaysia). They visited our home for an hour or so before we all went out for a Chesham Tandoori. Yum. We took them to Anne’s parents after the meal who live in the next town, Amersham. Funny connection when one thinks we first met Anne and Mike in Costa Rico after they’d recently been ht by lightening.

I’ll keep all of you updated as best I can via private message and/or this blog. Next results are the brain and cheek biopsies and the proposed treatment plans. In between all this we still may get to visit a few houses so we’ll keep you up to date with that too.